CRYSTAL COLE PMHNP-BC LLC

CHICAGO, IL
NPI1073147252
Entity TypeOrganization
Authorized ContactCRYSTAL COLE
Owner
224-306-1879
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2020-02-26
Last Update Date2020-02-26
Business Address
CRYSTAL COLE PMHNP-BC LLC
2500 W BRADLEY PL STE 100
CHICAGO, IL 60618-4716
Phone number: 224-306-1879
Mailing Address
CRYSTAL COLE PMHNP-BC LLC
PO BOX 506
NORTHBROOK, IL 60065-0506
Phone number: 847-562-9505
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